Rheumatoid arthritis

Rheumatoid arthritis and the risk of major cardiometabolic diseases: a Mendelian randomization study

Scand J RheumatolPublished Mendelian randomisation study

Authors' conclusion

Genetically determined RA was associated with increased risks of T2D and CAD

Study context

Population
European subjects; Genome-wide association study (GWAS) of rheumatoid arthritis (RA) (58,284) and three GWASs of T2D, coronary artery disease (CAD) and ischaemic stroke
Participants
1,529,131 outcome GWASs
Comparison
Genetically determined RA and risk of T2D, CAD and ischaemic stroke
Outcome
Cardiometabolic diseases per genetically determined RA (IVW MR)
Methodological detailstwo-sample summary-level GWAS data, inverse-variance weighted (IVW) Mendelian randomization (MR) main analysis, sensitivity analyses: multiple MR methods, MR-Egger, leave-one-out
  • Two-sample summary-level GWAS data
  • Inverse-variance weighted (IVW) MR main analysis
  • Sensitivity analyses: multiple MR methods, MR-Egger, leave-one-out

Main finding

As reported in the abstract

Odds ratio (95% CI)P value
Genetically determined RA: T2D
1.04(1.02–1.05)
P < 0.001
Genetically determined RA: CAD
1.02(1.00–1.03)
P = 0.012
Genetically determined RA: ischaemic stroke
1.00(0.99–1.02)
P = 0.961

Per genetically determined RA, as printed

Further findings

Sensitivity analyses

Multiple MR methods confirmed the associations
MR-Egger: no evidence of pleiotropy
Leave-one-out: associations not driven by any individual SNP

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Rheumatoid arthritis and the risk of major cardiometabolic diseases: a Mendelian randomization study. Scand J Rheumatol. Published 6 June 2022. doi:10.1080/03009742.2022.2070988

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